, Nursing for Wellness in Older Adults 9th Edition Miller Test Bank
Chapter 1 Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
,Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual nurse self-reflect on personal feelings and determine whether such feelings
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans than
have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
includes the patients:
a. nonrelated caretaker.
b. paid caregiver.
, c. family smember.
d. intuitional srepresentative.
ANS: sC
Less sthan s4% sof solder sadults slive sin sa sformal shealth scare senvironment. sThe smajority sof sthe
geriatric spopulation slives sat shome sor swith sfamily smembers.
s
DIF: sApplying s(Application) sREF: sN/A sOBJ: s3-3
TOP: sNursing sProcess: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
5. The snurse splanning scare sfor san solder sadult swho shas srecently sbeen sdiagnosed swith srheumatoid
arthritis sviews sthe spriority scriterion sfor scontinued sindependence sto sbe sthe spatients:
s
a. age.
b. financial sstatus.
c. gender.
d. functional sstatus.
ANS: sD
Maintaining sthe sfunctional sstatus sof solder sadults smay savert sthe sonset sof sphysical sfrailty sand
cognitive simpairment, stwo sconditions sthat sincrease sthe slikelihood sof sinstitutionalization.
s
DIF: sRemembering s(Knowledge) sREF: sMCS: s8 sOBJ: s1-6
TOP: sNursing sProcess: sPlanning sMSC: sPhysiologic sIntegrity
s
6. A snurse sworking swith sthe solder sadult spopulation sis smost slikely sto sassess sa sneed sfor sa sfinancial
social sservices sreferral sfor sa(n):
s
a. white smale.
b. black sfemale.
c. Hispanic smale.
Chapter 1 Seeing Older Adults Through the Eyes of Wellness
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1
TOP: N/A MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
,Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual nurse self-reflect on personal feelings and determine whether such feelings
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
does recognizing ageism as a form of bigotry.
DIF: Applying (Application) REF: N/A OBJ: 1-9
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
3. When discussing factors that have helped to increase the number of healthy, independent older
Americans, the nurse includes the importance of:
a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.
ANS: C
The health and ultimate autonomy of older Americans has been positively impacted by the
development of antibiotics, better sanitation, and vaccines. These public health measures have
been more instrumental in increasing the numbers of healthy, independent older Americans than
have in-home care services, government programs, or life-extending therapies.
DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
includes the patients:
a. nonrelated caretaker.
b. paid caregiver.
, c. family smember.
d. intuitional srepresentative.
ANS: sC
Less sthan s4% sof solder sadults slive sin sa sformal shealth scare senvironment. sThe smajority sof sthe
geriatric spopulation slives sat shome sor swith sfamily smembers.
s
DIF: sApplying s(Application) sREF: sN/A sOBJ: s3-3
TOP: sNursing sProcess: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
5. The snurse splanning scare sfor san solder sadult swho shas srecently sbeen sdiagnosed swith srheumatoid
arthritis sviews sthe spriority scriterion sfor scontinued sindependence sto sbe sthe spatients:
s
a. age.
b. financial sstatus.
c. gender.
d. functional sstatus.
ANS: sD
Maintaining sthe sfunctional sstatus sof solder sadults smay savert sthe sonset sof sphysical sfrailty sand
cognitive simpairment, stwo sconditions sthat sincrease sthe slikelihood sof sinstitutionalization.
s
DIF: sRemembering s(Knowledge) sREF: sMCS: s8 sOBJ: s1-6
TOP: sNursing sProcess: sPlanning sMSC: sPhysiologic sIntegrity
s
6. A snurse sworking swith sthe solder sadult spopulation sis smost slikely sto sassess sa sneed sfor sa sfinancial
social sservices sreferral sfor sa(n):
s
a. white smale.
b. black sfemale.
c. Hispanic smale.
